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psnet.ahrq.gov/node/36623/psn-pdf
April 24, 2015 - Public Meeting on Improving Patient Safety by Enhancing
the Container Labeling for Parenteral Infusion Drug
Products.
April 24, 2015
Fed Reg. Nov. 28, 2006;71:68819.
https://psnet.ahrq.gov/issue/public-meeting-improving-patient-safety-enhancing-container-labeling-
parenteral-infusion-drug
The US Food and Drug Ad…
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psnet.ahrq.gov/node/43437/psn-pdf
August 13, 2014 - Diagnostic error: untapped potential for improving patient
safety?
August 13, 2014
Groszkruger D. Diagnostic error: untapped potential for improving patient safety? J Healthc Risk Manag.
2014;34(1):38-43. doi:10.1002/jhrm.21149.
https://psnet.ahrq.gov/issue/diagnostic-error-untapped-potential-improving-patient-saf…
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psnet.ahrq.gov/node/41158/psn-pdf
February 22, 2012 - Strategies for improving patient safety: linking task type
to error type.
February 22, 2012
Mattox EA. Strategies for improving patient safety: linking task type to error type. Crit Care Nurse.
2012;32(1):52-78. doi:10.4037/ccn2012303.
https://psnet.ahrq.gov/issue/strategies-improving-patient-safety-linking-task-t…
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psnet.ahrq.gov/node/36810/psn-pdf
November 19, 2014 - A Systems Approach to Quality Improvement in Long-
Term Care: Safe Medication Practices Workbook.
November 19, 2014
Massachusetts Coalition for the Prevention of Medical Errors, MassPRO, Massachusetts Extended Care
Foundation. Boston, MA: Commonwealth of Massachusetts; 2008.
https://psnet.ahrq.gov/issue/systems-ap…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/transform.pdf
January 01, 2020 - Transforming Hospitals: Designing for Safety and Quality
1
Background
The 1999 Institute of Medicine’s landmark report, To Err is Human:
Building a Safer Health System, exposed the tremendous costs, both in
human and financial terms, of medical errors in the U.S. health care
system.1 Two studies cited in the rep…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/19-perioperative-teams.docx
June 01, 2023 - A Guide to Leading Successful Perioperative TeamsAHRQ Safety Program for Improving Surgical Care and Recovery
Purpose of the tool: Assembling a multidisciplinary perioperative team is one of the first, and most critical, steps in your AHRQ Safety Program for Improving Surgical Care and Recovery (ISCR) journey. This do…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
January 01, 2012 - Project Report - Lean Sigma
*
National Content Webinar
CUSP: A Framework for Success
March 7, 2012
*
*
Today’s Speakers
Marge Cannon, Medical Officer, CMS
Minet Javellana, Health Insurance Specialist, CMS
Barb Edson, Vice President of Clinical Quality, HRET
Chris George, Director of National Projects, MHA…
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/hepatitis-c-treatment-adherence_disposition-comments.pdf
December 20, 2012 - We did not feel it was within the scope
of this review to summarize the
improvements seen in adherence
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teambased-1.pdf
May 02, 2016 - Team-Based Primary Care: Convergence of Improving Engagement, Safety, and Enhanced Joy in Practice
Case Study
Problem Addressed
A typical primary care visit is not always a satisfying
encounter for either the provider or the patient. Providers
feel stressed by the need for efficiency and the demands of
electronic…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm6.html
October 01, 2014 - Designing and Implementing Medicaid Disease and Care Management Programs
Section 6: Operating a Care Management Program
Previous Page Next Page
Table of Contents
Designing and Implementing Medicaid Disease and Care Management Programs
Introduction
Section 1: Planning a Care Management Program
…
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psnet.ahrq.gov/print/pdf/node/867461
January 31, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Patient and Family Engagement in Long
Term Care
Curated Library
Foundations
Long-term Care and Patient Safety
Deb Bakerjian PhD, APRN, FAAN, FAANP, FGSA | April, 10 2024
A large and growing number of Americans require care in skilled nursin…
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digital.ahrq.gov/ahrq-funded-projects/using-innovative-communication-technology-improve-health-young-african-american/final-report
January 01, 2023 - Communication-Focused Technologies for Improving the Health of Young African-American Women - Final Report
Citation
Jack B, Bickmore T, Cuoco M, et al. Communication-Focused Technologies for Improving the Health of Young African-American Women - Final Report. (Prepared by Boston University under Contr…
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digital.ahrq.gov/ahrq-funded-projects/can-risk-score-alerts-improve-office-care-chest-pain/citation/electronic-risk
January 01, 2023 - Electronic risk alerts to improve primary care management of chest pain: a randomized, controlled trial.
Citation
Sequist TD, Morong SM, Marston A, et al. Electronic risk alerts to improve primary care management of chest pain: a randomized, controlled trial. J Gen Intern Med 2012;27(4):438-44.
…
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digital.ahrq.gov/ahrq-funded-projects/improving-uptake-and-use-personal-health-records/final-report
January 01, 2023 - Improving Uptake and Use of Personal Health Records - Final Report
Citation
Bates, D. Improving Uptake and Use of Personal Health Records - Final report. (Prepared by Brigham and Women's Hospital under Grant No. R18 HS018656). Rockville, MD: Agency for Healthcare Research and Quality, 2012.
PDF…
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psnet.ahrq.gov/node/45926/psn-pdf
May 17, 2017 - Toolkit To Improve Safety in Ambulatory Surgery Centers.
May 17, 2017
Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
https://psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers
Ambulatory surgery centers provide care to growing numbers of patients. This toolkit draws fr…
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psnet.ahrq.gov/node/50876/psn-pdf
April 22, 2021 - Veterans Accountability Improvement Act.
April 22, 2021
SB 1307, 117th Congress: 2021.
https://psnet.ahrq.gov/issue/veterans-accountability-improvement-act
Reporting clinicians who exhibit practice behaviors that are detrimental to safety is challenged by system
and cultural norms. This legislation aims to strengt…
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psnet.ahrq.gov/node/44529/psn-pdf
September 30, 2015 - Learning from no-fault treatment injury claims to improve
the safety of older patients.
September 30, 2015
Wallis KA. Learning from no-fault treatment injury claims to improve the safety of older patients. Ann Fam
Med. 2015;13(5):472-4. doi:10.1370/afm.1810.
https://psnet.ahrq.gov/issue/learning-no-fault-treatment…
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psnet.ahrq.gov/node/34991/psn-pdf
June 22, 2009 - Use of failure mode and effects analysis in improving the
safety of i.v. drug administration.
June 22, 2009
Adachi W, Lodolce AE. Use of failure mode and effects analysis in improving the safety of i.v. drug
administration. Am J Health Syst Pharm. 2005;62(9):917-20.
https://psnet.ahrq.gov/issue/use-failure-mode-an…
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psnet.ahrq.gov/node/41710/psn-pdf
November 08, 2012 - Improving teamwork on general medical units: when
teams do not work face-to-face.
November 8, 2012
McComb SA, Henneman EA, Hinchey KT, et al. Improving teamwork on general medical units: when teams
do not work face-to-face. Jt Comm J Qual Patient Saf. 2012;38(10):471-478.
https://psnet.ahrq.gov/issue/improving-tea…
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psnet.ahrq.gov/node/60627/psn-pdf
June 24, 2020 - Second opinions improve healthcare outcomes and
reduce costs.
June 24, 2020
Hébert AR. Second opinions improve healthcare outcomes and reduce costs. Employee Benefit News.
2020;June 8.
https://psnet.ahrq.gov/issue/second-opinions-improve-healthcare-outcomes-and-reduce-costs
Second opinions are a strategy for redu…